Unknown Individual – Nephrology Physician, NPI 1356397830
Nephrology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
219 N BROAD ST
5TH FLOOR
PHILA, PA 191071519
Phone: (215) 762-6144
Fax: (215) 762-8366
Type: Location
Three Parkway, 1601, Cherry Street, Philadelphia, Philadelphia County, Pennsylvania, 19103, United States
SUITE 11511
PHILADELPHIA, PA 191021321
Phone: (215) 255-7822
Fax: (215) 255-7825
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 19107)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Hospice/Palliative Care | PA | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | PA | |
| Clinical Social Worker | PA |
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